Individual provider Active NPI

Jemina M Liverman, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1073889697
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024174090 Issued in VA
Practice address
751 Thimble Shoals Blvd Ste B
Newport News, VA 23606-3563
Phone
(804) 295-8510
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174090 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024174090 VA Primary

Addresses

Primary practice location

751 Thimble Shoals Blvd Ste B
Newport News, VA 23606-3563

Mailing address

11828 Canon Blvd Ste a
Newport News, VA 23606-2554
Phone (804) 295-8510

Other practice location 1

9520 Iron Bridge Rd Unit 33
Chesterfield, VA 23832-6455
Phone (804) 295-8510

Other practice location 2

26317 Washington St
North Dinwiddie, VA 23803-2727
Phone (804) 524-7000 ext. 7129

Other identifiers 1

IdentifierTypeStateIssuer
1073889697MedicaidGA

Other names 1

  • Miss Jemina M. Freeman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326002685 VA Practitioner - Nurse Practitioner 8921360207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11828 Canon Blvd
Suite a
Newport News, VA 23606-2554
Phone (804) 295-8510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024174090VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saving & Changing Lives PLLC Family CurrentSince Nov 1, 2019 Accepting new patients

Locations

9520 Iron Bridge Rd
Unit 33
Chesterfield, VA 23832
Phone (804) 295-8510

751 Thimble Shoals Blvd
Ste B
Newport News, VA 23606
Phone (804) 295-8510

11030 Warwick Blvd
Ste A
Newport News, VA 23601
Phone (757) 207-8815

11828 Canon Blvd
Ste A
Newport News, VA 23606
Phone (757) 873-0030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1073889697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 CANON BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062554",
            "telephone_number": "804-295-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 THIMBLE SHOALS BLVD STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063563",
            "telephone_number": "804-295-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9520 Iron Bridge Rd Unit 33",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238326455",
            "country_code": "US",
            "telephone_number": "804-295-8510",
            "fax_number": "949-404-8894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26317 Washington St",
            "address_purpose": "LOCATION",
            "city": "North Dinwiddie",
            "state": "VA",
            "postal_code": "238032727",
            "country_code": "US",
            "telephone_number": "804-524-7000 x7129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVERMAN",
        "first_name": "JEMINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174090",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073889697",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEMINA",
            "last_name": "FREEMAN",
            "middle_name": "M.",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.